MEDICARE: MALAIKA BAPTISTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508464702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALAIKA BAPTISTE

Provider Business Mailing Address
First Line	:	3847 SHAFTBURY PL
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9311
Country	:	US
Telephone Number	:	954-993-2443
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 S HIAWASSEE RD SUITE 203 ROOM 1240
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835
Country	:	US
Telephone Number	:	321-972-4039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2020
Last Update Date	:	07/11/2022

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Directions to “ MALAIKA BAPTISTE ” Practice Location

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